| Dale B Mortimer Md Pc | |
|
10000 Ne 7th Ave Suite 385 Vancouver WA 98685-2955 | |
| (360) 882-9058 | |
| (360) 567-0861 |
| Full Name | Dale B Mortimer Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 10000 Ne 7th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Dale Burton Mortimer (CHAIRMAN AND PRESIDENT) |
| Authorized Official Contact | 3608829058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale B Mortimer Md Pc 800 Ne Tenney Road Pmb 110 232 Vancouver WA 98685-2831 Ph: (360) 882-9058 | Dale B Mortimer Md Pc 10000 Ne 7th Ave Suite 385 Vancouver WA 98685-2955 Ph: (360) 882-9058 |
| NPI Number | 1023200813 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023200813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD00028371 (Washington) | Primary |
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